application for tax certificate

8/19/2019 Application for Tax Certificate

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GENERAL INFORMATION FOR PREPARING AN“APPLICATION FOR TAX CERTIFICATE (ATC)” FORM

CITY OF BIRMINGHAM, ALABAMA

FINANCE DEPARTMENT - TAX AND LICENSE ADMINISTRATION DIVISION710 NORTH 20TH STREET, ROOM TL-100 CITY HALL

BIRMINGHAM, AL 35203(205) 254-2198 OFFICE

(205) 254-2963 FAXWEBSITE: www.informationbirmingham.com

REQUIREMENT TO REGISTER. All persons, firms, corporations, and other legal entities having business activities within theCity of Birmingham are required by law and/or ordinance to register with the City of Birmingham Finance Department. The

attached “Application for Tax Certificate (ATC)” form is used for such registration purposes. THE ATC FORM MUST BECOMPLETED FULLY, and must be accompanied by all required documentation as indicated below. (See “Applications for Non-

Controlled Licenses”) Failure to complete the ATC form fully and/or failure to supply the necessary additional documentation may

delay processing of your application which, in turn, may delay receipt of tax forms and/or issuance of your City business licenseIf, after reading these instructions, you still have questions about the form, or if you need assistance with completing the form

please contact our office at (205) 254-2198.

ISSUANCE OF YOUR CITY TAXPAYER IDENTIFICATION NUMBER. Once your fully completed ATC form is received by the

Finance Department, you will be issued a City of Birmingham TAXPAYER IDENTIFICATION NUMBER. This number is to beused to report all City tax and license liabilities to the City of Birmingham Finance Department. If you have more than one business

location, it is assumed that you will file applicable consolidated returns for Sales Tax, Occupational Tax, Sellers or ConsumersUse Tax, and Lease Tax. Generally, however, each business location requires the purchase of separate business license.

CHANGES OF OWNERSHIP; MERGER; ACQUISITION OF AN EXISTING BUSINESS. If you are currently making application

for a City of Birmingham business license or new City of Birmingham Taxpayer Identification Number as a result of the sale orpurchase of a business, a change of ownership, merger, or other acquisition of a business previously registered to do businessin the City of Birmingham, you must provide information relating to the sale, purchase, merger, change of ownership, or

acquisition in the relevant section on the ATC form.

PROPER ZONING OF BUSINESS ADDRESS REQUIRED. Each designated business location must be approved by the Cityof Birmingham Department of Planning, Engineering and Permits, pursuant to the requirements of Ordinance No. 90-130, as

amended, before a City business license can be issued. In the event that your business relocates from one address within theCity to another address within the City, the new business location must be approved before a City business license can be

issued or renewed.

HOME OCCUPATIONS/HOME OFFICES. Each applicant for a business license who plans to operate his or her business from

a residence within the City of Birmingham must execute a “Home Occupation Certificate of Agreement” through the Departmentof Planning, Engineering and Permits before a City business license can be issued. A copy of the properly executed agreement

must be presented to the Revenue Division at the time of making application for licensing. In the event that previously approvedhome office relocates from one address within the City to another address within the City, the new home office business location

must be approved before a City business license can be issued or renewed. It is required, therefore, that applications for homeoccupations/home offices be made in person at the office of the Tax and License Administration (Revenue) Division located at710 North 20th Street, Room TL-100, City Hall, Birmingham, AL 35203.

GROSS RECEIPTS LICENSES AND NINETY (90) DAY AFFIDAVITS. All gross-receipts based license amounts are calculated

on twelve (12) months of actual or annualized gross receipts. New gross-receipts based businesses are generally issueda business license in a minimum amount at the time of application. After the first ninety (90) days of business, a sworn affidavit

attesting to the gross receipts of the business for the first ninety days must be executed. The gross receipts information will beannualized (projected for the twelve month period), and will provide the basis for calculating the actual business license liability forthe current year and, in some instances, for the second year of operation. Any applicable business license amounts previously

paid will be deducted from the actual business license liability, and you will be billed for any balance due.

NO PRORATION OF LICENSE RESULTING FROM ABANDONMENT OR DISCONTINUANCE OF BUSINESS. There is noprovision for the proration of any business license taxes as a result of the abandonment or discontinuance of a business.

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LICENSE TO BE EXHIBITED, DISPLAYED, OR POSTED. Each license issued by the Finance Department shall be postedin a conspicuous place where such business or occupation is carried on, and the holder of such license shall immediately showsuch license to the department’s designated agent, or to any police officer of the City upon being so requested by such agent

or officer. Failure to exhibit, display or post such license as required by City ordinance shall be unlawful. Where a license decaor sticker is required to be affixed to any machine or vehicle, it shall also be the duty of each such licensee to attach and to

keep securely attached such decal or sticker to such vehicle or machine in a conspicuous place.

NON-PROFIT ORGANIZATIONS. Non-profit organizations which have been granted exemptions from business licensetaxation by specific Acts of the Alabama Legislature are exempt from City license taxes. The legislative act or a copy thereof

must be submitted to the Tax and License Administration (Revenue) Division in order to be eligible for such exemptionNon-profit organizations are NOT automatically exempt from the provisions of the City of Birmingham Business License Codeby virtue of having qualified for non-profit status on the federal income tax level under the provisions of USC 501(c)(3).

APPLICATIONS FOR CONTROLLED LICENSES. Controlled licenses are granted only through a specific approval process.

Controlled licenses cannot be issued by the Tax and License Administration (Revenue) Division without the proper approval ofspecific authorities such as the Birmingham City Council. Such controlled license include the following: Alcoholic BeverageLicenses; Dance Establishments Serving Alcohol; Dancers and/or Performers in Division II Dance Establishments; Pool Tables

Junk Yards; and Solid Waste Facilities. IMPORTANT NOTE: APPLICATIONS FOR CONTROLLED LICENSES ARE TAKENBY APPOINTMENT ONLY. Please contact the Tax and License Administration (Revenue) Division at (205) 254-2198 for details

of the specific application procedures and prerequisites for such controlled licenses.

APPLICATIONS FOR NON-CONTROLLED LICENSES. If you are applying to register a new, non-controlled business with the

City of Birmingham, please furnish the documents and/or information indicated below:

1. All Applicants - Furnish the completed and signed “Application for Tax Certificate (ATC) Form”.2. Sole Proprietorships, Partnerships - Furnish copy/copies of valid drivers license of sole proprietor and/or all partners.

3. Alabama Corporations - Furnish copies of Articles of Incorporation filed with the Alabama Secretary of State and acopy or copies of valid driver’s licenses of principal officers.

4. “Foreign” Corporations (Incorporated in a state other than Alabama) - Furnish copies of Articles of Incorporation;Copy of your letter of authorization to do business in the State of Alabama obtained from the Alabama Secretary of Stateand, a copy or copies of valid driver’s licenses of principal officers.

5. Food/Eating Establishments - Furnish a copy of a valid Health Department Permit. Such businesses include restaurantslounges, food stores, convenience stores, snack bars, mobile food vendors, etc.

6. Day Care Centers - Furnish valid “Zoning Certificate of Operation (ZCO); and copy of County or State Day Care License(issued through the County or State Department of Human Resources).

7. Home Occupations/Home Offices - Furnish copy of “Home Occupation Certificate of Agreement”. Contact Larry Youngof the Department of Planning, Engineering and Permits at (205) 254-2211.

8. State Certified, State Regulated, or State Licensed Occupations - Furnish copies of evidence of State licensing, orState certification cards for the following occupations: Burglar Alarm Companies (Installation and Monitoring); MasterElectricians; Master Plumbers; Master Gas Fitters; Master Plumbers and Gas Fitters; Heating and Air Conditioning (HVAC)

Contractors; Tree Pruning and/or Tree Surgery; and Landscape Architects or Landscape Gardeners.9. Transient Vendors/ Special Events Licenses - Contact the Tax and License Administration (Revenue) Division at

(205) 254-2198 for details of the specific application procedures and prerequisites for issuance of such licenses.10. Other - If you are unsure whether your business requires special certification, licensing, or approval, please contact the

Tax and License Administration (Revenue) Division for additional information at (205) 254-2198.

REQUEST FOR RULING ON DETERMINATION OF TAXATION. Any taxpayer or applicant may request a ruling on

the determination of whether amounts of gross sales, or gross receipts of his/her business are subject to the license tax, or are notto be used as a measure of the license taxes due and payable as levied by the Business License Code of the City of

Birmingham. Such requests shall be made in writing to the Finance Department, and shall contain all pertinent facts relatingto the item(s) in question.

CONFIDENTIALITY OF APPLICATION AND TAX RETURNS. Information supplied to the department in the form of applica-tions and tax returns is subject to the confidentiality provisions outlined in Ordinance No. 97-183, “The Business License Code

of the City of Birmingham”, Article II, Section 14.



COMPLETE AND RETURN THIS FORM TO:City of Birmingham-Revenue Division710 North 20th Street-Room TL 100Birmingham, AL 35203(205) 254-2198 Office(205) 254-2963 Faxwww.informationbirmingham.com

CITY OF BIRMINGHAM

APPLICATION FOR TAX CERTIFICATE

The information that you provide in this application is protected by the confidentiality provisions outlined in Ordinance No. 97-183, “TheBusiness License Code of the City of Birmingham”, Article II, Section 14. Please type or print. This application should be completed fully

to avoid delays in processing.

Section 1 – WHAT WOULD YOU LIKE TO DO?● Register a new business (Please complete all sections)

● Add a New Location or Tax Type to your current registration (Please complete Sections 2, 3, 5-10, 12,13, and 14)

● Change Business Ownership of your current registration (Please complete all sections)

● Change the Mailing Address only for your current registration (Please complete Sections 2, 8-10, 12, 13 and 14)

● Change the Location Address of your current registration (Please complete Sections 2, 3, 5-13, and 14)

● Change in Corporate Officers, Members, or Partners (Please complete Sections 2, 5, 7-9, 11-13, and 14)

● Provide a general “update” of your current registration information (Please complete all sections)

Section 2 – LEGAL NAME AND MAILING ADDRESS to which tax forms are to be sent:(Note: If mailing address is a post office box, the street address of the business must also be indicated.)

Full Legal Name _____________________________________________________________________________________________

Attention: ___________________________________________________________________________________________________

Address ____________________________________________________________________________________________________

___________________________________________________________________________________________________________

City ________________________________________________________ State ______ Zip Code ____________ - ____________

Area Code and Phone Number __________________________________________________________________________________

Area Code and Fax Number ____________________________________________________________________________________

Name of Contact Person_______________________________________________________________________________________

E-Mail_______________________________________ Website Address ________________________________________________

Section 3 – TRADE NAME AND LOCATION ADDRESS of office in Birmingham. If you are registering more than one location,

please see reverse side of this form. (Important Note: All business locations are subject to zoning approval.)

Please select: ● Commercial Establishment ● Private Residence ● No Physical Birmingham Location

Trade (d/b/a) Name ___________________________________________________________________________________________

Attention: ___________________________________________________________________________________________________

Address ____________________________________________________________________________________________________

___________________________________________________________________________________________________________

City ________________________________________________________ State ______ Zip Code ____________ - ____________

Area Code and Phone Number of Business Location_________________________________________________________________

Area Code and Fax Number of Business Location___________________________________________________________________

Name of Contact Person at Business Location______________________________________________________________________

E-Mail_______________________________________ Website Address ________________________________________________

Section 4 – CHANGE OF OWNERSHIP resulting from merger, purchase or acquisition of an existing business.If applicable, this section MUST be completed.

Former Owner __________________________________________ Birmingham Taxpayer ID Number________________________

Trade (d/b/a) Name ___________________________________________________________________________________________

Mailing Address of FormerOwner_________________________________________________________________________________

___________________________________________________________________________________________________________

Address(es) of Former Location(s) _______________________________________________________________________________

___________________________________________________________________________________________________________

Area Code and Phone Number of Former Owner ___________________________________________________________________

TAXPAYER IDENTIFICATION NUMBER(City Office Use Only)



■ Sales Tax

■ Sellers Use Tax

■ Consumers Use Tax

■ Lease Tax

■ Occupational Tax—Employer’s

■ Lodgings Tax

■ Business License Tax

If you have more than one business location, it is assumed that you will file consolidated returns for each of the taxes for whichyou may be liable, including sales, use, lease, occupational, and lodgings taxes. Each separate business location requires a

separate business license.

State of Alabama Sales Tax Number

State of Alabama Sellers Use Tax Number

State of Alabama Consumers Use Tax Number

State of Alabama Lease Tax Number

State of Alabama Lodgings Tax Number

State of Alabama Unemployment Tax Number

TAX IDENTIFICATION NUMBERS NOW ASSIGNED TO YOU: (Write “None” if no number assigned)

● 8. Home Occupation/Home Office(Please specify the type of occupation or office)

________________________________________________

● 9. State Certified, State Regulated, or State LicensedOccupations (Please specify) ______________________

● 10. Transient Vendors/Special Events:

Date(s) of the EventEvent Location

2APPLICATION FOR TAX CERTIFICATE (CITY OF BIRMINGHAM, ALABAMA)

Section 5 – TYPE OF OWNERSHIP

Please indicate the form of organization. NOTE: Please refer to the accompanying “General Information for Preparing an Applicationfor Tax Certificate Form” instruction sheet for a listing of supplemental documentation to be included with this application.

● 1. Alabama Corporation (Incorporated in Alabama) ● 1. Foreign Corporation (Incorporated in another state)

● 2. Partnership (two or more owners)

● 3. Sole Proprietor (one owner)

● 4. Unincorporated Association (i.e., PA)

● 5. Other ________________________________

● 6. Limited Liability Partnership (LLP)

● 7. Limited Liability Company (LLC)

Section 6 – TYPE OF BUSINESS

Please indicate the principal business activity category.

● 1. Manufacturer

● 2. Contractor (Please specify) _______________

● 3. Wholesaler

● 4. Retailer

● 5. Other (Please specify)___________________

● 6. Food/Eating Establishment

● 7. Day Care Center

Section 7 – PRINCIPAL BUSINESS ACTIVITY AND PRODUCT

You should indicate the one business activity that accounts for the largest percentage of gross income. State the broad field of businessactivity as well as the product or service. For example—Activity: Wholesale Sales / Product: Pharmaceuticals OR Activity: Manufacturing /

Product: Automobiles. Note: This information should be the same information as required by the Internal Revenue Service on Schedule C ofForm 1040 for Sole Proprietorships.

Activity _______________________________________________ Product ______________________________________________

Section 8 - FEDERAL TAX ID NUMBER / NUMBER OF EMPLOYEES

Enter Federal Identification Number (REQUIRED) and the number of employees that will be working in Birmingham.

Federal ID Tax Number __________________________________ Number of Employees in Birmingham (Required)_____________

Section 9 – COMMENCEMENT OF BUSINESS ACTIVITY

Enter Date Business Activity Will Begin in Birmingham: Month _____________ Day ______ Year _______

Enter Date City of Birmingham Taxpayer Identification Number Applied For: Month _____________ Day ______ Year _______

Section 10 – TAX LIABILITIES Check the taxes for which you are liable.



– –

Section 12 – CORPORATE RESIDENT AGENT OR LOCAL MANAGER

Name ______________________________________________________________________________________________________

Address of Residence _________________________________________________________________________________________

___________________________________________________________________________________________________________

City _______________________________________________________________ State ______ Zip Code _________ - _________

Area Code and Phone Number of Residence

Section 13 – STATEMENT OF ACKNOWLEDGEMENT AND ACCEPTANCE OF CONDITIONS – Please read carefully, then sign.

I declare, under the penalty of making a false declaration, that I am authorized to complete this form and to the best of my knowledge

and belief all questions answered are true, correct, and complete statements, made in good faith. I understand and agree that the grantingof this license requires my compliance with all applicable City of Birmingham Tax Code provisions, and state laws, as well as with all

conditions set forth in any and all applicable City of Birmingham Laws, Ordinances, Rules and Regulations, and that any failure or refusato comply with said laws, ordinances, rules and regulations may result in the revocation of any license issued pursuant to this application.

I also understand that disclosure of any false or misleading information will result in automatic denial of any license issued pursuant tothis application, or in the revocation of the license if such has already been issued. I understand that it is unlawful for any person to

commence or engage in any business, vocation, occupation or profession, who is not otherwise exempt therefrom under the provisions

of the City of Birmingham Business License Tax Code (Ordinance No. 97-183), without first having procured a license therefor, and tha

it is unlawful for any person to continue in any business, vocation, occupation, or profession after the expiration of a license previouslyissued, without obtaining a new license. I further understand that it is unlawful for any person to engage in or to continue in anybusiness, vocation, occupation, or profession at any location within the corporate limits of the City of Birmingham without approval from

the City of Birmingham Department of Planning, Engineering, and Permits (Zoning Division).

Signed:

_______________________________________________________ __________________________________________

Signature of the Person Completing This Application Date

_______________________________________________________ __________________________________________

Print the Name of the Person Completing This Application Phone Number of Person Completing Application

CITY OFFICE USE ONLY – Location _____

ZONING APPROVAL AND COMMENTS:

____________________________________________________________________________________________________

__________________________________________________

HOME OCCUPATION CERTIFICATE EXECUTED

■ YES ■ NO ■ NOT APPLICABLE

SIC OR NAICS ______________________________________

BLIC ______________________________________________TERRITORY ________________________________________

ANNEX____________________________________________

HEALTH DEPT PERMIT_______________________________OTHER REQUIRED PERMIT___________________________

ARTICLES OF INCORPORATION_______________________CERTIFICATE OF AUTHORITY_________________________

TAX FORMS ORDERED ■ NBL ORDERED ■

APPLICATION FOR TAX CERTIFICATE (CITY OF BIRMINGHAM, ALABAMA)

Section 11 – OWNER, PARTNERS, MEMBERS, OR CORPORATE OFFICERS

This information REQUIRED. (Attach additional sheets if necessary.)

NAME TITLE SOCIAL SECURITY NUMBER

– –

– –– –

– –

– –

3



SIC OR NAICS ______________________________________

BLIC ______________________________________________

TERRITORY ________________________________________ANNEX____________________________________________

HEALTH DEPT PERMIT_______________________________OTHER REQUIRED PERMIT___________________________

ARTICLES OF INCORPORATION_______________________

CERTIFICATE OF AUTHORITY_________________________TAX FORMS ORDERED ■ NBL ORDERED ■

APPLICATION FOR TAX CERTIFICATE (CITY OF BIRMINGHAM, ALABAMA)

SECTION 14 – ADDITIONAL TAXABLE LOCATIONS

Trade Name and Location Address of office in Birmingham. If you are registering more than one location, please use this section.Attach additional sheets if necessary. (Important Note: All business locations are subject to zoning approval.) Location__________

Please select: ● Commercial Establishment ● Private Residence ● No Physical Birmingham Location

Trade (d/b/a) Name ___________________________________________________________________________________________

Attention: ___________________________________________________________________________________________________

Address ____________________________________________________________________________________________________

___________________________________________________________________________________________________________





E-Mail_____________________________________________ Website Address_________________________________________

CITY OFFICE USE ONLY – Location _______

Trade Name and Location Address of office in Birmingham. If you are registering more than one location, use this section. Attachadditional sheets if necessary. (Important Note: All business locations are subject to zoning approval.) Location_________

Please select: ●

Commercial Establishment ●

Private Residence ●

No Physical Birmingham Location

Trade (d/b/a) Name ___________________________________________________________________________________________

Attention: ___________________________________________________________________________________________________

Address ____________________________________________________________________________________________________

___________________________________________________________________________________________________________





E-Mail_____________________________________________ Website Address_________________________________________

CITY OFFICE USE ONLY – Location _______

SIC OR NAICS ______________________________________

BLIC ______________________________________________TERRITORY ________________________________________

ANNEX____________________________________________HEALTH DEPT PERMIT_______________________________

OTHER REQUIRED PERMIT___________________________ARTICLES OF INCORPORATION_______________________

CERTIFICATE OF AUTHORITY_________________________

TAX FORMS ORDERED ■ NBL ORDERED ■

ZONING APPROVAL AND COMMENTS:__________________________________________________

____________________________________________________________________________________________________



ZONING APPROVAL AND COMMENTS:

____________________________________________________________________________________________________

__________________________________________________



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